• Paul A Anderson, P B Raksin, Paul M Arnold, John H Chi, Andrew T Dailey, Sanjay S Dhall, Kurt M Eichholz, James S Harrop, Daniel J Hoh, Sheeraz Qureshi, Craig H Rabb, Michael G Kaiser, and John E O'Toole.
• Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, Wisconsin.
• Neurosurgery. 2019 Jan 1; 84 (1): E56-E58.

QuestionDoes the choice of surgical approach (anterior, posterior, or combined anterior-posterior) improve clinical outcomes in patients with thoracic and lumbar fractures?RecommendationsIn the surgical treatment of patients with thoracolumbar burst fractures, physicians may use an anterior, posterior, or a combined approach as the selection of approach does not appear to impact clinical or neurological outcomes. Strength of Recommendation: Grade B With regard to radiologic outcomes in the surgical treatment of patients with thoracolumbar fractures, physicians may utilize an anterior, posterior, or combined approach because there is conflicting evidence in the comparison among approaches. Strength of Recommendation: Grade Insufficient With regard to complications in the surgical treatment of patients with thoracolumbar fractures, physicians may use an anterior, posterior, or combined approach because there is conflicting evidence in the comparison among approaches. Strength of Recommendation: Grade Insufficient The full version of the guideline can be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_11.

25 keywords...

hide…